2019, Number 11
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Revista Médica Sinergia 2019; 4 (11)
Primary dysmenorrhea in adolescents: management in primary care
Garro UV, Thuel GM, Robles AV
Language: Spanish
References: 22
Page: 296
PDF size: 160.88 Kb.
ABSTRACT
Primary dysmenorrhea is the most common symptom associated with
menstruation and can be classified into primary dysmenorrhea, which is the pelvic pain associated with menstruation in the absence of an underlying
pelvic pathology, and in secondary dysmenorrhea, which is when the
symptomatology can be attributed to an underlying pelvic pathology. The
prevalence of this pathology is highly underestimated and varies widely.
The pathological process has not been fully understood, but according to
research it is the result of increased production of prostaglandins and
leukotrienes, with the resulting increase in myometrial activity. The
diagnosis is mainly based on a thorough medical history and a targeted
physical examination, although the response to treatment also corroborates
the diagnosis. The main objective of treatment of dysmenorrhea is to reduce
pain and improve the functionality of patients, being the first line treatment
the nonsteroidal anti-inflammatory drugs and hormonal therapy.
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